Individual provider Active NPI

Maria Cristina Bonilla

  • Marriage & Family Therapist
  • Oxnard, CA
National Provider Identifier
1407188915
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT16368 Issued in CA
Practice address
1100 W Gonzales Rd
Oxnard, CA 93036-3336
Phone
(805) 751-4765
Fax
(805) 973-8871
NPI assigned
Feb 8, 2010
Last updated
Jan 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT16368 CA Primary

Addresses

Primary practice location

1100 W Gonzales Rd
Oxnard, CA 93036-3336

Mailing address

1040 Flynn Rd
Camarillo, CA 93012-5092
Phone (805) 673-3930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240105002637 CA Practitioner - Marriage and Family Therapist 1850742685 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

751 Lombardi CT
Santa Rosa, CA 95407-6798
Phone (707) 303-3600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFT16368CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinicas del Camino Real Inc CurrentSince Jan 1, 2024 Accepting new patients
Santa Rosa Community Health Centers CurrentSince Aug 29, 2025 Accepting new patients
Santa Rosa Community Health Centers Current Accepting new patients
Clinicas del Camino Real Inc Current Accepting new patients
Santa Rosa Community Health Centers CurrentSince Aug 29, 2025 Accepting new patients
Clinicas del Camino Real Inc CurrentSince Jan 1, 2024 Accepting new patients
Clinicas del Camino Real Inc PastSince Jan 17, 2022 Accepting new patients

Locations

1040 Flynn Rd
Camarillo, CA 93012
Phone (805) 673-3930

4279 Tierra Rejada Rd
Moorpark, CA 93021
Phone (805) 222-2323

1100 W Gonzales Rd
Oxnard, CA 93036
Phone (805) 988-0053

500 E Main St
Santa Paula, CA 93060
Phone (805) 933-0895

3569 Round Barn Cir
Santa Rosa, CA 95403

751 Lombardi Ct
Santa Rosa, CA 95407
Phone (707) 547-2222

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1407188915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 FLYNN RD",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125092",
            "telephone_number": "805-673-3930",
            "fax_number": "805-659-3217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W GONZALES RD",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930363336",
            "telephone_number": "805-751-4765",
            "fax_number": "805-973-8871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONILLA",
        "first_name": "MARIA",
        "middle_name": "CRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-08",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT16368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.